Claim Form: International

Statement of Claim
Customer Information

* - Indicates a required field.

Your First Name *   
Your Last Name *   
Email Address *   
Confirm Email Address *   
Origin Country * 
Destination Country * 
Your shipment number      
This site works best with Internet Explorer 6.0 and higher.
Copyright (c) 1995-2009 by Allied Van Lines, Inc. All Rights Reserved. U.S. DOT No. 076235